Understanding Anxiety and Muscle Tremors: When to Seek Help
Unexplained feelings of trembling and anxiety? Hello doctor, I previously visited a neurologist because of muscle twitching in my legs. The doctor prescribed me Rozerem (Ramelteon) 0.5 mg to take before bed, B-complex capsules, and Clonazepam for a month. However, I forgot to tak...
Dr. Huang Xiaoxian Reply:
Hello, Xiao Fu. Thank you for your question. Currently, your medication is symptomatic treatment, and it is generally recommended to take it as prescribed. However, occasionally missing a dose should not lead to severe consequences. It sounds like the more critical issue is that ...[Read More] Understanding Anxiety and Muscle Tremors: When to Seek Help
Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Adult Attention Deficit Hyperactivity Disorder (ADHD) and Anxiety Disorders? Hello, Doctor. I am a 23-year-old male student and would like to inquire about adult Attention Deficit Hyperactivity Disorder (ADHD). Regarding my background: I exhibited some behavioral issues in elemen...
Dr. Wang Yazhen Reply:
Hello, Chen Dada: Thank you for providing such a detailed description of your situation. Regarding whether your condition may be ADHD, I recommend seeking an evaluation from a physician specializing in child and adolescent psychiatry. In short, there can be many reasons for diffi...[Read More] Understanding Adult ADHD and Anxiety: A Student's Journey to Focus
Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Ampernix medication I would like to inquire about the long-term side effects of using Ambien. If there are any, does long-term use affect sperm count in men who are planning to have children?
Dr. Wu Enliang Reply:
Hello, netizen: The main side effect of sedative-hypnotic medications like Ambien is the development of dependence. When not used, individuals may experience anxiety and insomnia. It is recommended to use them only when necessary, such as during episodes of anxiety, and not on a ...[Read More] Long-Term Use of Ambien: Side Effects and Impact on Male Fertility
Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Schizophrenia and Medication Costs Issues Dear Dr. Wu, I was diagnosed with delusional disorder (mild schizophrenia) at the beginning of last year. I experienced auditory hallucinations for about two months, which later resolved on their own. The delusional aspects have stabiliz...
Dr. Wu Enliang Reply:
Hello, online user: Q: Will taking medication for schizophrenia lead to brain atrophy in the long term? A: No, in fact, not taking medication and experiencing repeated episodes can lead to brain atrophy. Q: Although delusions and hallucinations have resolved, is there still d...[Read More] Understanding Schizophrenia: Medication Costs and Social Interaction Challenges
Will Depression Ever Get Better? Understanding Treatment Options
Can depression get better? Hello Doctor: I am feeling very depressed. The physician prescribed me the following medication: JEXIT S.C. Tablets 0.5 mg, and I was given an increased dosage of 2 mg last week after informing the doctor that I still felt unwell. Will I continue to fee...
Dr. Huang Xiaoxian Reply:
Dear Fang, thank you for your question. It sounds like you have been feeling quite down lately. I'm not sure if there is a specific trigger for this. Generally speaking, the course of depression can improve within half a month to a month with treatment, although some individ...[Read More] Will Depression Ever Get Better? Understanding Treatment Options
Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Medication issues Hello doctor, I have been experiencing insomnia recently and visited a psychiatrist. I also have symptoms of chest tightness and anxiety. The doctor prescribed me propranolol 10mg, aripiprazole 5mg, fluoxetine 20mg, rivopam 2mg, mocalm, and zolpidem 10mg. Is it ...
Dr. Qiu Junda Reply:
Hello. These are all psychiatric medications. Since you have already consulted with a psychiatrist, the doctor should be treating your condition. I hope you can cooperate with the treatment. If you have any concerns after starting the medication (such as side effects, effectivene...[Read More] Understanding Medication for Anxiety and Insomnia: A Patient's Guide
Risks of Switching from Risperidone to Olanzapine in Schizophrenia Treatment
Medication issues If a patient with schizophrenia is currently stable on Risperidone and is considering a medication discontinuation plan, switching to Olanzapine may carry certain risks. These risks include potential side effects such as weight gain, metabolic syndrome, sedation...
Dr. Huang Xiaoxian Reply:
Hello, thank you for your question. Generally speaking, schizophrenia is a chronic condition, and it is recommended to take medication regularly to stabilize the condition and reduce the risk of relapse. The medications you mentioned all have therapeutic effects, and it is genera...[Read More] Risks of Switching from Risperidone to Olanzapine in Schizophrenia Treatment
Understanding Drug Interactions: Safety of Psychiatric and Dermatological Medications
Drug interactions Psychiatry: YOU-JET (Sertraline) 50mg, Eurodin 2mg, Zolpidem*2 (at bedtime) Dermatology: Doxepin 25mg*2, Lyrica 75mg*2 Dermatological pruritus Metabolism: Metformin 500mg, Tamsulosin 0.2mg (to be taken before breakfast) Lansoprazole 30mg, Promethazine 5m...
Dr. Lin Mianzhang Reply:
Hello: The medication Promeran, when used in conjunction with YOU-JET or doxepin, may increase the risk of extrapyramidal symptoms. Extrapyramidal symptoms refer to a group of side effects that involve involuntary movements, including tremors, rigidity, and bradykinesia. However,...[Read More] Understanding Drug Interactions: Safety of Psychiatric and Dermatological Medications
Managing Depression and Anxiety: Medication Interactions and Sleep Guidelines
Depression and Anxiety Disorders Psychiatry: Leeyo 10mg*2 (Escitalopram) Eurodin 2mg (for depression and anxiety) Dermatology: Doxepin 25mg*2 Lyrica 75mg*2 (for skin itching) Metabolism: Metformin 500mg Tamsulosin 0.2mg (for diabetes) Gastroenterology: Take medication before brea...
Dr. Lin Mianzhang Reply:
Hello, Xiao Lu: Doxepin is a tricyclic antidepressant, and the dermatologist may hope to alleviate your itching symptoms through its antihistaminic effects. However, since it also has other psychiatric effects (such as sedation and sleep induction), it is advisable to ask the der...[Read More] Managing Depression and Anxiety: Medication Interactions and Sleep Guidelines
Navigating Mental Health Medications: Confusion and Concerns
Regarding pharmacotherapy? If I could, I would wish I had never seen a psychiatrist, as I feel my life has become a mess because of it. Each doctor has a different diagnosis; some say it's depression, others say generalized anxiety disorder, some mention ADHD, and others cla...
Dr. Liang Sunyuan Reply:
Hello: A multi-faceted approach is most effective for treating psychiatric symptoms. Regular routines, adequate sleep, balanced nutrition, consistent exercise, and healthy leisure activities all contribute positively. When seeking medical care and undergoing pharmacotherapy, it i...[Read More] Navigating Mental Health Medications: Confusion and Concerns
Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Withdrawal symptoms from Yuankang? Hello Dr. Wang, I have been taking medication for depression for about 10 years. Initially, I was on a heavy regimen with multiple medications, but over time, I gradually reduced it to just taking Wellbutrin (Bupropion). About six months ago, a...
Dr. Wang Yaoting Reply:
The mechanism of action of "Yuekang 75mg" is to enhance the effects of central serotonin and norepinephrine. Withdrawal symptoms may occur upon discontinuation of the medication, such as dizziness, nausea, fatigue, and headaches. There have also been case reports of sym...[Read More] Understanding Withdrawal Symptoms from Antidepressants: A Patient's Journey
Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Issues with medication for anxiety and insomnia (due to insomnia and being easily affected by minor stressors)? Hello, doctor. I have previously been diagnosed with generalized anxiety disorder (and possibly mild obsessive-compulsive disorder or PTSD) and have been regularly taki...
Dr. Wu Enliang Reply:
Hello, netizen: Current scientific evidence suggests that the use of antidepressants is effective in treating major depressive disorder, and it is particularly effective for insomnia associated with major depression. The recommended duration of use is at least six months. However...[Read More] Managing Anxiety and Sleep Issues: Insights on Mirtazapine and Alternatives
Managing Panic and Anxiety from Autonomic Nervous System Disorders
Autonomic Nervous System Dysregulation Panic Two weeks ago, I was diagnosed with autonomic nervous system dysfunction and panic disorder at a hospital in China. I've been experiencing anxiety and panic attacks over the past few weeks. The doctor prescribed me Xanax to take a...
Dr. Wu Enliang Reply:
Hello, internet user: I'm not entirely clear on your main issue, but I will do my best to respond based on my understanding. Masturbation and feelings of chest tightness, panic, and anxiety should not be related. Sexual desire is a normal physiological response, and generall...[Read More] Managing Panic and Anxiety from Autonomic Nervous System Disorders
Coping with Sjögren's Syndrome and Rheumatoid Arthritis: A Young Adult's Journey
Sjögren's syndrome and rheumatoid arthritis? Why am I so unfortunate to have these two major illnesses? How should I cope with this? I haven't even graduated from college yet. Does this mean I won't be able to work in the future? Will my hands become deformed and d...
Dr. Liang Sunyuan Reply:
Hello: It's normal to initially find it difficult to accept, and I suggest giving yourself more time to adjust. For the treatment options and prognosis of these two conditions, it's advisable to have a thorough discussion with a rheumatologist. Typically, the situation ...[Read More] Coping with Sjögren's Syndrome and Rheumatoid Arthritis: A Young Adult's Journey
Choosing Anxiety Medications for Patients with Liver Issues
Medication Consultation Hello, doctor: I have liver issues, but I need to take anti-anxiety medication. I've heard that taking too much can be harmful to the liver. What kind of medication should I choose? Thank you for your response!
Dr. Huang Xiaoxian Reply:
Hello, thank you for your question! Generally speaking, psychiatric medications do not place a significant burden on the liver, and they can be safely taken at the recommended dosages by a physician. Among these, Ativan is considered to have a relatively low burden on the liver. ...[Read More] Choosing Anxiety Medications for Patients with Liver Issues
Understanding Drug Interactions: Concerns with Antidepressants and Cold Medications
Medication consultation Hello, doctor. Recently, I have been taking Vistacap (venlafaxine) capsules, one each night. This morning, I felt some discomfort in my throat and drank Panadol (paracetamol) Fever and Cold drink, only to realize that it is not advisable to take cold medic...
Dr. Wang Yaoting Reply:
Hello: Wisenke capsules are the generic version of fluoxetine. The mechanism of action of this class of antidepressants is to inhibit the reuptake of serotonin at nerve endings, leading to an increase in serotonin levels in the brain. Serotonin syndrome is more likely to occur wh...[Read More] Understanding Drug Interactions: Concerns with Antidepressants and Cold Medications
Do Anti-Anxiety Medications Cause Emotional Flatness?
Do anti-anxiety medications cause emotional blunting? Hello Dr. Wu, last year, due to my pet and an elderly family member becoming ill and requiring surgery and hospitalization, I experienced prolonged sleep disturbances, averaging less than 5 hours of sleep each night. One day, ...
Dr. Wu Enliang Reply:
Hello, online user: Anti-anxiety medications like Anxiolytics can indeed cause sluggishness and difficulty concentrating if the dosage is too high. It is advisable to gradually reduce the dosage or even discontinue use. As for antidepressants, they should be taken continuously. D...[Read More] Do Anti-Anxiety Medications Cause Emotional Flatness?
Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Ativan 0.5 mg, 8 tablets? The current medications being taken include Escitalopram 10mg, Doxepin 25mg twice, Pregabalin 75mg twice, Metformin 500mg, Tamsulosin 0.2mg, and Ativan 0.5mg eight times a day. I would like to ask if the dosage of Ativan 0.5mg taken eight times, prescrib...
Dr. Cai Qijin Reply:
Ativan is commonly used to relieve symptoms of anxiety, panic, and insomnia, with an average daily dosage of 2-4 mg. Your current daily dosage of 4 mg is within the normal range. If you have any questions about the medication, it is advisable to discuss them with your physician.[Read More] Is 8 Tablets of Ativan 0.5mg Safe for Insomnia Treatment?
Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Anxiety and panic disorder suddenly exhibit opposite symptoms? Hello Dr. Wu, I am a panic disorder patient diagnosed over ten years ago. After understanding the causes of my condition, I have managed to get through this difficult period with minimal panic attacks, which only oc...
Dr. Wu Enliang Reply:
It is indeed a severe anxiety disorder. It is recommended to schedule an earlier follow-up appointment to adjust medication or to incorporate psychotherapy or other relaxation training. If necessary, inpatient treatment may even be required. Wu Enliang[Read More] Overcoming Anxiety and Panic Disorder: A Patient's Journey to Recovery
Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey
Consultation on Medications for Sleep and Panic Anxiety Hello, Dr. Lin. I have been a patient with anxiety and panic for over 10 years. I have been taking Rifuxin (Lifuyou) once a day, every night before bed. However, recently I have been suffering from a stomach condition that h...
Dr. Lin Mianzhang Reply:
Hello Mr. Lin: Suemianos can be taken together with Rifampicin and Liyou, and the order of administration will not affect their efficacy. A small number of people may experience sleepwalking or amnesia while taking this medication, but whether these side effects occur can only be...[Read More] Consultation on Sleep Aids and Anxiety Medications: A Patient's Journey